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1932561966
DYLAN WELCH
CHAMPAIGN, IL
NPI
1932561966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209014064)
Enumeration Date
2016-03-29
Last Update Date
2016-03-29
Business Address
-- DYLAN WELCH NP
1701 W. CURTIS RD.
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6207
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Mailing Address
-- DYLAN WELCH NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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